Individual
KEEVA BARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2990 N PERRYVILLE RD UNIT 1100, ROCKFORD, IL 61107-6827
(815) 469-1500
Mailing address
2990 N PERRYVILLE RD UNIT 1100, ROCKFORD, IL 61107-6827
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53979
IL
106S00000X
Behavior Technician
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Other
Enumeration date
09/28/2018
Last updated
12/02/2024
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